purpose: emphasis on umbilical cord abnormality early recognition and timely detection and timely treatment, avoid the misdiagnosis and missed diagnosis and lose operation time delay treatment and lead to fetal life risk. Methods: our hospital in case of cesarean section for fetal distress found in umbilical cord injury report. Results: the timely cesarean section to terminate pregnancy, saved the baby's born. Conclusion: the abnormal umbilical cord of early recognition and timely detection and timely treatment should be taken seriously.